Individual
AILEEN P O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3248 AVALON BLVD, CONYERS, GA 30013-6320
(770) 922-9706
(770) 922-8792
Mailing address
3248 AVALON BLVD, CONYERS, GA 30013-6320
(770) 922-9706
(770) 922-8792
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
033597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544409E
—
GA
Enumeration date
03/15/2006
Last updated
09/07/2010
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